14. Skin Cancer Flashcards

1
Q

Name 2 genetic factors that predispose to skin cancer

A

Gorlin’s syndrome

Xeroderma pigmentosa mutation

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2
Q

Recall 2 viral infections that may cause skin cancer and the type of skin cancer they are associated with

A

HHV8 - Kaposi’s sarcoma

HPV - SCC

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3
Q

In which population is malignant melanoma most common?

A

White - by far

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4
Q

What is the most common form of skin cancer?

A

Basal cell carcinoma

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5
Q

Which forms of skin cancer are keratinocyte-derived?

A

Basal cell carcinoma

Squamous cell carcinoma

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6
Q

From what sort of cell is malignant melanoma derived?

A

Melanocytes

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7
Q

What is the most common site of basal cell carcinoma?

A

Eyelids

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8
Q

Compare the risk of metastasis in skin carcinomas?

A
Basal = does not metastasize
Squamous = risk of metastasis
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9
Q

What is the proper name for “melanoma in situ”

A

Lentigo maligna

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10
Q

What is a melanoma in situ?

A

Melanoma that is confined to epidermis with no risk of metastasis

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11
Q

Describe the appearance of a lentigo maligna

A

Brown, irregular shape, flat

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12
Q

Recall the 3 MAIN types of melanoma

A

Lentigo maligna
Superficial spreading malignant melanoma
Nodular malignant melanoma

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13
Q

Describe and differentiate superficial spreading and nodular melanoma

A

Superficial spreading = lateral proliferation and invasion of BM
Nodular = vertical proliferation with no previous horizontal growth

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14
Q

What sort of melanoma is found on the palms of the hands and soles of the feet?

A

Acral lentiginous melanoma

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15
Q

What sort of skin cancer did tree-man have?

A

Epidermodysplasia verruciformis

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16
Q

What do you call a lymphoma that occurs in the skin?

A

Mycosis fungoides

17
Q

What is the range of wavelengths of UVB?

A

280-310nm

18
Q

How many skin phenotypes are there?

A

6

19
Q

From what precursor is melanin formed?

A

Tyrosine

20
Q

What are the 2 types of melanin and which of these is involved in skin-pigmenting?

A

Eumelanin - pigments skin

Phaeomelanin

21
Q

Which gene regulates melanin production?

A

MCR1

22
Q

What is the main affect on DNA of UVB?

A

Pyrimide dimerisation

23
Q

What sort of repair mechanism correct UVB damage

A

Nucleotide excision

24
Q

What is the effect of a xeroderma pigmentosa gene mutation?

A

Faulty nucleotide excision repair –> young age skin cancer development

25
Q

What disease can phototherapy be used to treat?

A

Psoriasis